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Advanced Practice Nursing: Cardiovascular Pharmacology Assessment, Exams of Pharmacology

Virginia State University (VSU)Pharmacology

Advanced Practice Nursing: Cardiovascular Pharmacology Assessment

Typology: Exams

2024/2025

Available from 07/12/2025

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Advanced Practice Nursing: Cardiovascular
Pharmacology Assessment
1. The nursing student needs to administer potassium chloride intravenously as prescribed
to a client with hypokalemia. The nursing instructor determines that the student is
unprepared for this procedure if the student states that which action is part of the plan
for preparation and administration of the potassium?
1. Obtaining an intravenous (IV) infusion pump
2. Monitoring urine output during administration
3. Preparing the medication for bolus administration
4. Ensuring that the medication is diluted in the appropriate amount of normal saline
3. Preparing the medication for bolus administration
2. A client with atrial fibrillation is receiving a continuous heparin infusion at 1000
units/hour. The nurse determines that the client is receiving the therapeutic effect
based on which results?
1. Prothrombin time of 12.5 seconds
2. Activated partial thromboplastin time of 60 seconds
3. Activated partial thromboplastin time of 28 seconds
4. Activated partial thromboplastin time longer than 120 seconds
2. Activated partial thromboplastin time of 60 seconds
3. The nurse provides discharge instructions to a client who is taking warfarin sodium
(Coumadin). Which statement, by the client, reflects the need for further
teaching?
1. "I will avoid alcohol consumption."
2. "I will take my pills every day at the same time."
3. "I have already called my family to pick up a Medic-Alert bracelet."
4. "I will take Ecotrin (enteric-coated aspirin) for my headaches because it is coated."
4. "I will take Ecotrin (enteric-coated aspirin) for my headaches because it is coated."
4. A client who is receiving digoxin (Lanoxin) daily has a serum potassium level of 3
mEq/L and is complaining of anorexia. The health care provider prescribes
determination of the serum digoxin level to rule out digoxin toxicity. The nurse checks
the results, knowing that which value is the therapeutic serum level (range) for digoxin?
1. 0.5 to 2 ng/mL
2. 1.2 to 2.8 ng/mL
3. 3.0 to 5.0 ng/mL
4. 3.5 to 5.5 ng/mL
1. 0.5 to 2 ng/mL
5. A client is being treated with procainamide for a cardiac dysrhythmia. Following
intravenous administration of the medication, the client complains of dizziness.
What intervention should the nurse take first?
1. Measure the heart rate on the rhythm strip.
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Advanced Practice Nursing: Cardiovascular

Pharmacology Assessment

  1. The nursing student needs to administer potassium chloride intravenously as prescribed to a client with hypokalemia. The nursing instructor determines that the student is unprepared for this procedure if the student states that which action is part of the plan for preparation and administration of the potassium?
    1. Obtaining an intravenous (IV) infusion pump
    2. Monitoring urine output during administration
    3. Preparing the medication for bolus administration
    4. Ensuring that the medication is diluted in the appropriate amount of normal saline
    5. Preparing the medication for bolus administration
  2. A client with atrial fibrillation is receiving a continuous heparin infusion at 1000 units/hour. The nurse determines that the client is receiving the therapeutic effect based on which results?
    1. Prothrombin time of 12.5 seconds
    2. Activated partial thromboplastin time of 60 seconds
    3. Activated partial thromboplastin time of 28 seconds
    4. Activated partial thromboplastin time longer than 120 seconds
    5. Activated partial thromboplastin time of 60 seconds
  3. The nurse provides discharge instructions to a client who is taking warfarin sodium (Coumadin). Which statement, by the client, reflects the need for further teaching?
    1. "I will avoid alcohol consumption."
    2. "I will take my pills every day at the same time."
    3. "I have already called my family to pick up a Medic-Alert bracelet."
    4. "I will take Ecotrin (enteric-coated aspirin) for my headaches because it is coated."
    5. "I will take Ecotrin (enteric-coated aspirin) for my headaches because it is coated."
  4. A client who is receiving digoxin (Lanoxin) daily has a serum potassium level of 3 mEq/L and is complaining of anorexia. The health care provider prescribes determination of the serum digoxin level to rule out digoxin toxicity. The nurse checks the results, knowing that which value is the therapeutic serum level (range) for digoxin?
    1. 0.5 to 2 ng/mL
    2. 1.2 to 2.8 ng/mL
    3. 3.0 to 5.0 ng/mL
    4. 3.5 to 5.5 ng/mL
    5. 0.5 to 2 ng/mL
  5. A client is being treated with procainamide for a cardiac dysrhythmia. Following intravenous administration of the medication, the client complains of dizziness. What intervention should the nurse take first?
    1. Measure the heart rate on the rhythm strip.
  1. Administer prescribed nitroglycerin tablets.
  2. Obtain a 12-lead electrocardiogram immediately.
  3. Auscultate the client's apical pulse and obtain a blood pressure.
  4. Auscultate the client's apical pulse and obtain a blood pressure.
  5. The nurse is monitoring a client who is taking propranolol (Inderal LA). Which assessment data indicates a potential serious complication associated with this medication?
  6. The development of complaints of insomnia
  7. The development of audible expiratory wheezes
  8. A baseline blood pressure of 150/80 mm Hg followed by a blood pressure of 138/72 mm Hg after two doses of the medication
  9. A baseline resting heart rate of 88 beats/minute followed by a resting heart rate of 72 beats/minute after two doses of the medication
  10. The development of audible expiratory wheezes
  11. A client with atrial fibrillation secondary to mitral stenosis is receiving a heparin sodium infusion at 1000 units/hour and warfarin sodium (Coumadin) 7.5 mg at 5:00 pm daily. The morning laboratory results are as follows: activated partial thromboplastin time (aPTT) = 32 seconds; internationalized normalized ratio (INR) = 1.3. The nurse should plan to take which action based on the client's laboratory results?
  12. Collaborate with the health care provider (HCP) to discontinue the heparin infusion and administer the warfarin sodium as prescribed.
  13. Collaborate with the HCP to obtain a prescription to increase the heparin infusion and administer the warfarin sodium as prescribed.
  14. Collaborate with the HCP to withhold the warfarin sodium since the client is receiving a heparin infusion and the aPTT is within the therapeutic range.
  15. Collaborate with the HCP to continue the heparin infusion at the same rate and to discuss use of dabigatran etexilate (Pradaxa) in place of warfarin sodium.
  16. Collaborate with the HCP to obtain a prescription to increase the heparin infusion and administer the warfarin sodium as prescribed.
  17. A client is diagnosed with an ST-segment elevation myocardial infarction (STEMI) and is receiving tissue plasminogen activator, alteplase (Activase, tPA). Which action is a priority nursing intervention?
  18. Monitor for kidney failure.
  19. Monitor psychosocial status.
  20. Monitor for signs of bleeding.
  21. Have heparin sodium available.
  22. Monitor for signs of bleeding.
  1. Cough becomes productive of frothy pink sputum
  2. The serum potassium level changes from
  3. 8 to 3.1 mEq/L 3.B-natriuretic peptide (BNP) factor increases from 200 to 262 pg/mL
  4. Urine output increases from 10 mL/hour to greater than 50 mL hourly
  5. Urine output increases from 10 mL/hour to greater than 50 mL hourly
  6. Intravenous heparin therapy is prescribed for a client. While implementing this prescription, the nurse ensures that which medication is available on the nursing unit?
  7. Vitamin K
  8. Protamine sulfate
  9. Potassium chloride
  10. Aminocaproic acid (Amicar)
  11. Protamine sulfate
  12. A client is prescribed nicotinic acid (niacin) for hyperlipidemia and the nurse provides instructions to the client about the medication. Which statement by the client indicates an understanding of the instructions?
  13. "It is not necessary to avoid the use of alcohol."
  14. "The medication should be taken with meals to decrease flushing."
  15. "Clay-colored stools are a common side effect and should not be of concern."
  16. "Ibuprofen (Motrin) taken 30 minutes before the nicotinic acid should decrease the flushing."
  17. "Ibuprofen (Motrin) taken 30 minutes before the nicotinic acid should decrease the flushing."
  18. The nurse is reviewing the record of a client who arrives at the health care clinic. The nurse notes that irbesartan (Avapro) has been prescribed for the client. The nurse should suspect that the client has which condition?
  19. Hypertension
  20. Hypothyroidism
  21. Diabetes mellitus
  22. Renal transplant rejection
  23. Hypertension
  24. The home care nurse instructs a client on how to administer enoxaparin (Lovenox) subcutaneously. Which statement, if made by the client, indicates an understanding of how to administer this medication?
  25. "I need to hold my skin flat before I put the needle into my skin."
  26. "I need to massage the skin with the alcohol wipe after I give the injection."
  27. "A syringe that has a small ⅝-inch needle is used to administer the injection."
  28. "I need to pull back on the syringe and aspirate before pushing the medication into my skin."
  1. "A syringe that has a small ⅝-inch needle is used to administer the injection."
  2. A client is scheduled for a dose of ramipril (Altace). The nurse should check which measurement before administering the medication?
  3. Weight
  4. Apical pulse
  5. Blood pressure
  6. Potassium level
  7. Blood pressure
  8. The clinic nurse is providing instructions to a client with hypertension who will be taking captopril (Capoten). Which statement by the client indicates a need for further instruction?
  9. "I need to change positions slowly."
  10. "I need to avoid taking hot baths or showers."
  11. "I need to drink at least 4 quarts of water daily."
  12. "I need to sit down and rest if dizziness or lightheadedness occurs."
  13. "I need to drink at least 4 quarts of water daily."
  14. A thrombolytic is administered in the hospital emergency department to a client who has had a myocardial infarction. The client's spouse asks the nurse about the purpose of the medication. The nurse bases the response on which fact regarding this medication?
  15. Thrombolytics suppress the production of fibrin.
  16. Thrombolytics act to prevent thrombus formation.
  17. Thrombolytics act to dissolve thrombi that have already formed.
  18. Thrombolytics have been proved to reverse all detrimental effects of heart attacks.
  19. Thrombolytics act to dissolve thrombi that have already formed.
  20. A client who had surgery 3 days earlier is receiving heparin sulfate by subcutaneous injection every 12 hours. In planning for the client's morning care, the priority nursing intervention is which action?
  21. Allow the client to sit only at the bedside.
  22. Assist the client to shave using an electric razor.
  23. Monitor the prothrombin time (PT) every 4 hours.
  24. Tell the client that brushing the teeth is not allowed.
  25. Assist the client to shave using an electric razor.
  26. A client scheduled to take a subcutaneous anticoagulant at home says to the nurse, "I'm not sure I will be able to take this medication at home." Which statement by the nurse is most appropriate?
  27. "Maybe your spouse can give you your shots."
  28. "You'll be fine once you get used to giving your own shots."
  1. "The pills should be kept in their original container so they don't get mixed up with my other medicines."
  2. "If I miss a dose, I should just take two the next day."
  3. A client who began medication therapy with prazosin hydrochloride (Minipress) 1 week earlier arrives at the health care clinic for follow-up evaluation and care. The nurse interprets that the client is experiencing the expected benefit of therapy if which is noted?
  4. Increased pulse
  5. Increased platelet count
  6. Decreased blood pressure
  7. Decreased blood glucose level
  8. Decreased blood pressure
  9. A hypertensive client has been prescribed clonidine hydrochloride (Catapres-TTS), a transdermal patch. The nurse provides written instructions to the client on the use of the patch. Which statement by the client indicates the need for further instruction?
  10. "I need to change the patch every 24 hours."
  11. "I need to apply the patch to a hairless body site."
  12. "I need to apply the patch to skin areas that are not broken."
  13. "I need to apply the patch to the skin on the upper arm or body."
  14. "I need to change the patch every 24 hours."
  15. A client with hypertension has begun taking spironolactone (Aldactone). The nurse teaches the client to limit intake of which food?
  16. Rice
  17. Salad
  18. Oatmeal
  19. Citrus fruits
  20. Citrus fruits
  21. A client with hypertension has a new prescription for a medication called moexipril (Univasc). The nurse plans to provide written directions that tell the client to take the medication at which time?
  22. At bedtime
  23. With meals
  24. 1 hour before meals
  25. With a snack in late afternoon
  26. 1 hour before meals
  27. A health care provider (HCP) prescribes warfarin sodium (Coumadin) for a client. The home care nurse visits the client at home and teaches the client about the medication and

its administration. Which statement by the client indicates a need for further teaching?

  1. "The urine normally changes to orange."
  2. "This medicine will still be working 4 to 5 days after it is discontinued."
  3. "This medication will require frequent blood work to monitor its effects."
  4. "I cannot take aspirin or any aspirin-containing medications while I'm on this medication."
  5. "The urine normally changes to orange."
  6. The nurse has been given a medication prescription to administer intravenous (IV) hydralazine (Apresoline). The nurse obtains which priority piece of equipment needed for use during administration of this medication?
  7. Pulse oximetry
  8. Cardiac monitor
  9. Noninvasive blood pressure cuff
  10. Nonrebreather oxygen face mask
  11. Noninvasive blood pressure cuff
  12. The nurse is reviewing the assessment findings for a client who has been taking spironolactone (Aldactone) for treatment of hypertension. Which, if noted in the client's record, would indicate that the client is experiencing an adverse effect related to the medication?
  13. Client complaint of dry skin
  14. A potassium level of 3.5 mEq/L
  15. A potassium level of 5.8 mEq/L
  16. Client complaint of constipation
  17. A potassium level of 5.8 mEq/L
  18. The nurse is providing instructions to a client with chronic atrial fibrillation who is being started on quinidine sulfate. The nurse should plan to provide which instruction to the client?
  19. Wear a Medic-Alert bracelet.
  20. Take the medication only on an empty stomach.
  21. Stop taking the prescribed digoxin (Lanoxin) when this medication is started.
  22. Open the sustained-release capsules and mix with applesauce if the medication is difficult to swallow.
  23. Wear a Medic-Alert bracelet.
  24. The nurse notes a persistent, dry cough in an adult client being seen in the ambulatory clinic. When questioned, the client states that the cough began approximately 2 months ago. On further assessment, the nurse learns that the client began taking quinapril (Accupril) shortly before the time that the cough began. How should the nurse interpret the development of the cough?
  1. Hypokalemia
  2. A client is taking amiloride (Midamor) 10 mg orally daily. What medication instruction should the nurse provide to the client?
  3. Take the dose without food.
  4. Eat foods with extra sodium.
  5. Take the dose in the morning.
  6. Withhold the dose if the blood pressure is high.
  7. Take the dose in the morning.
  8. Lisinopril (Prinivil) has been prescribed for a client. What should the nurse instruct the client to do?
  9. Take the medication with food only.
  10. Discontinue the medication if nausea occurs.
  11. Rise slowly from a reclining to a sitting position.
  12. Expect to note a full therapeutic effect immediately.
  13. Rise slowly from a reclining to a sitting position.
  14. A health care provider (HCP) prescribes quinidine gluconate for a client. The nurse decides to withhold the medication and contact the HCP if which assessment finding is documented in the client's medical record?
  15. Muscle weakness
  16. History of asthma
  17. Presence of infection
  18. Complete atrioventricular (AV) block
  19. Complete atrioventricular (AV) block
  20. A client is to be discharged from the hospital on quinidine gluconate to control ventricular ectopy. The nurse provides instructions to the client about the medication. Which statement by the client indicates a need for further instruction?
  21. "The best time to schedule this medication is with meals."
  22. "I need to avoid alcohol, caffeine, and cigarettes while I am on this medication."
  23. "I need to stop the medication immediately if diarrhea, nausea, or vomiting occurs."
  24. "I need to take this medication regularly, even if the heartbeat feels strong and regular."
  25. "I need to stop the medication immediately if diarrhea, nausea, or vomiting occurs."
  26. A client has been prescribed pindolol (Visken) for hypertension. The nurse provides anticipatory guidance, knowing that which common side effect of this medication may decrease client compliance?
  27. Impotence
  28. Mood swings
  1. Increased appetite
  2. Difficulty swallowing
  3. Impotence
  4. A client receiving total parenteral nutrition (TPN) has a history of heart failure. The health care provider has prescribed furosemide (Lasix) 40 mg by mouth daily to prevent fluid overload. Which laboratory value should the nurse monitor to identify the presence of an adverse effect from this medication?
  5. Sodium
  6. Glucose
  7. Potassium
  8. Magnesium
  9. Potassium
  10. A client with heart failure is scheduled to be discharged to home with digoxin (Lanoxin) and furosemide (Lasix) as daily prescribed medications. The nurse tells the client to report which finding as an indication that the medications are not having the intended effect?
  11. Sudden increase in appetite
  12. Weight gain of 2 to 3 lb in a few days
  13. Increased urine output during the day
  14. Cough accompanied by other signs of respiratory infection
  15. Weight gain of 2 to 3 lb in a few days
  16. A client with pulmonary edema has a prescription to receive morphine sulfate intravenously. The nurse should determine that the client is experiencing an intended effect of the medication as indicated by which assessment finding?
  17. Increased pulse rate
  18. Relief of apprehension
  19. Decreased urine output
  20. Increased blood pressure
  21. Relief of apprehension
  22. The nurse has provided instructions to a client receiving enalapril maleate (Vasotec). Which statement by the client indicates a need for further instruction?
  23. "I need to rise slowly from a lying to sitting position."
  24. "I need to notify the health care provider if fatigue occurs."
  25. "I need to notify the health care provider (HCP) if a sore throat occurs."
  26. "I know that several weeks of therapy may be required for the full therapeutic effect."
  27. "I need to notify the health care provider if fatigue occurs."
  1. Increases oxygen demands within the myocardium
  2. Increases the force of contraction of ventricular tissues
  3. Prevents influx of calcium ions in vascular smooth muscle
  4. Leads to an increase in calcium absorption in the vascular smooth muscle
  5. Prevents influx of calcium ions in vascular smooth muscle4.Leads to an increase in calcium absorption in the vascular smooth muscle
  6. A client with chronic atrial fibrillation is being started on quinidine sulfate (Quinidine) as maintenance therapy for dysrhythmia suppression, and the nurse provides instructions to the client about the medication. Which statement by the client indicates a need for further instruction?
  7. "I will avoid chewing the tablets."
  8. "I will take the dose at the same time each day."
  9. "I will take the medication with food if my stomach becomes upset."
  10. "I will stop taking the prescribed anticoagulant after starting this new medication."
  11. "I will stop taking the prescribed anticoagulant after starting this new medication."
  12. Fenofibrate (Tricor) is prescribed for a client with hyperlipidemia. The nurse reviews the client's medical history for the presence of what condition that contraindicates the use of this medication?
  13. Angina
  14. Mitral valve stenosis
  15. Cirrhosis of the liver
  16. Coronary artery disease
  17. Cirrhosis of the liver
  18. Acetylsalicylic acid (ASA), or aspirin, has been prescribed for a client with angina, and the client asks the nurse how the medication will help. The nurse responds that this medication has been prescribed for which purpose?
  19. Reduce pain.
  20. Reduce inflammation.
  21. Inhibit platelet aggregation.
  22. Maintain a normal body temperature.
  23. Inhibit platelet aggregation.
  24. A nurse is collecting data from a client and notes that the client is taking atenolol (Tenormin). What has this medication been prescribed to treat?
  25. Hypertension
  26. Ulcerative colitis
  27. Rheumatoid arthritis
  28. Second-degree heart block
  1. Hypertension
  2. Atenolol (Tenormin) has been prescribed for a client, and the client asks the nurse about the action of the medication. How should the nurse respond regarding the action of this medication?
  3. Slows the heart rate
  4. Increases cardiac output
  5. Increases myocardial oxygen demand
  6. Maintains the blood pressure at a level within the 140/90 mm Hg range
  7. Slows the heart rate
  8. The health care provider (HCP) writes a prescription for atenolol (Tenormin) for a client who was admitted to the hospital. The nurse contacts the HCP to verify the prescription if which finding is noted in the assessment data?
  9. Temperature is 100.1° F.
  10. Apical heart rate is 48 beats/min.
  11. Blood pressure is 138/82 mm Hg.
  12. Pedal pulses are bounding and strong.
  13. Apical heart rate is 48 beats/min.
  14. Atenolol (Tenormin) has been prescribed for a hospitalized client. The nurse should check which item before administering this medication?
  15. Pedal pulses
  16. Apical heart rate
  17. Most recent potassium level
  18. Most recent electrolyte levels
  19. Apical heart rate
  20. Atenolol (Tenormin) has been prescribed for a client, and the client asks the nurse about the side effects of the medication. What should the nurse tell the client is an occasional side effect of this medication?
  21. Dry skin
  22. Flushing
  23. Decreased libido
  24. Increased blood pressure
  25. Decreased libido
  26. A client admitted to the hospital is taking atenolol (Tenormin). The nurse monitors the client for which sign or symptom of an adverse effect of the medication?
  27. Nausea
  28. Diaphoresis
  1. Atorvastatin (Lipitor) has been prescribed for a client. The nurse tells the client that which blood test will be done periodically while the client is taking this medication?
    1. Neutrophil count
    2. Liver function studies
    3. White blood cell count
    4. Complete blood cell (CBC) count
    5. Liver function studies
  2. Atorvastatin (Lipitor) has been prescribed for a client, and the client asks the nurse about the side effects of the medication. What should the nurse tell the client is a frequent side effect of this medication?
    1. Tremors
    2. Lethargy
    3. Headache
    4. Tiredness
    5. Headache
  3. A client seen in the health care clinic for follow-up care is taking atorvastatin (Lipitor). The nurse should assess the client for which adverse effect of the medication?
    1. Earache
    2. Hearing loss
    3. Photosensitivity
    4. Lung congestion
    5. Photosensitivity
  4. Atorvastatin (Lipitor) has been prescribed for a client, and the nurse provides instructions to the client about the medication. Which statement by the client indicates the need for further teaching?
    1. "This medication will lower my cholesterol level."
    2. "I will need to have blood tests drawn while I am taking this medication."
    3. "I won't need to adhere to a low-fat diet as long as I take this medication faithfully."
    4. "I need to talk to the health care provider (HCP) before taking any over-the- counter medications."
    5. "I won't need to adhere to a low-fat diet as long as I take this medication faithfully."
  5. Diltiazem (Cardizem) is prescribed for a client with Prinzmetal's variant angina. The nurse should plan care, knowing that this medication works by which method?
    1. Increasing the heart rate
    2. Constricting peripheral arteries
    3. Increasing sinoatrial (SA) and atrioventricular (AV) conduction
    4. Inhibiting calcium movement across cell membranes of cardiac and smooth muscle
  1. Inhibiting calcium movement across cell membranes of cardiac and smooth muscle
  2. A client with cardiac disease has begun taking propranolol (Inderal LA), and the nurse provides information to the client about the medication. The nurse should tell the client to contact the health care provider (HCP) if which symptoms develop?
  3. Insomnia and headache
  4. Nausea and constipation
  5. Night cough and dyspnea
  6. Drowsiness and nightmares
  7. Night cough and dyspnea
  8. Hydrochlorothiazide (HydroDIURIL) has been prescribed for a client. The nurse contacts the health care provider to verify the prescription if which condition is noted in the assessment data?
  9. Hypertension
  10. Allergy to eggs
  11. Nephrotic syndrome
  12. Allergy to sulfonamides
  13. Allergy to sulfonamides
  14. A client is seen in the clinic complaining of anorexia and nausea. The health care provider suspects that the client may be experiencing digoxin toxicity. While waiting for test results to become available, the nurse should assess the client for which sign or symptom that would support a diagnosis of digoxin toxicity?
  15. Edema
  16. Chest pain
  17. Constipation
  18. Photophobia
  19. Photophobia
  20. The nurse is administering a dose of intravenous hydralazine (Apresoline) to a client. The nurse should ensure that which item is in place before injecting the medication?
  21. Central line
  22. Foley catheter
  23. Pulse oximeter
  24. Blood pressure cuff
  25. Blood pressure cuff
  26. The nurse is performing an assessment on a client with a diagnosis of chronic angina pectoris. The client is receiving sotalol (Betapace) orally daily. Which assessment finding indicates to the nurse that the client is experiencing a side/adverse effect related to the medication?
  1. The nurse has completed giving medication instructions to a client receiving benazepril (Lotensin). Which client statement indicates to the nurse that the client needs further instruction?
    1. "I need to change positions slowly."
    2. "I will monitor my blood pressure every week."
    3. "I will report signs and symptoms of infection immediately."
    4. "I can use salt substitutes freely and eat foods high in potassium."
    5. "I can use salt substitutes freely and eat foods high in potassium."
  2. The nurse has conducted medication instructions with a client receiving lovastatin (Mevacor). Which periodic blood study will be necessary and included in the client's instructions?
    1. Bleeding time
    2. Blood glucose levels
    3. Liver function studies
    4. Complete blood cell count
    5. Liver function studies
  3. Daily administration of dipyridamole (Persantine) been prescribed for the client, and the nurse teaches the client about the medication. Which client statement indicates an understanding of the instructions?
    1. "This medication will prevent a stroke."
    2. "This medication will prevent a heart attack."
    3. "This medication will help keep my blood pressure down."
    4. "If I take this medicine with my Coumadin, it will protect my artificial heart valve."
    5. "If I take this medicine with my Coumadin, it will protect my artificial heart valve."
  4. A client in the postpartum care unit who is recovering from disseminated intravascular coagulopathy is to be discharged on low dosages of an anticoagulant medication. In developing home care instructions for this client, the nurse should include which priority safety instruction regarding this medication?
    1. Avoid brushing the teeth.
    2. Avoid taking acetylsalicylic acid (aspirin).
    3. Avoid walking long distances and climbing stairs.
    4. Avoid all activities because bruising injuries can occur.
    5. Avoid taking acetylsalicylic acid (aspirin).
  5. Levothyroxine (Synthroid) is prescribed for a client diagnosed with hypothyroidism. The nurse reviews the client's record and notes that the client is presently taking warfarin (Coumadin). The nurse contacts the health care provider (HCP), anticipating that the HCP will prescribe which medication?
    1. A decreased dosage of warfarin
  1. An increased dosage of warfarin
  2. A decreased dosage of levothyroxine
  3. An increased dosage of levothyroxine
  4. A decreased dosage of warfarin
  5. A nurse prepares to administer sodium polystyrene sulfonate (Kayexalate) to a client. Before administering the medication, the nurse reviews the action of the medication and understands that which is released by this medication?
  6. Bicarbonate in exchange for primarily sodium ions
  7. Potassium ions in exchange for primarily sodium ions
  8. Sodium ions in exchange for primarily potassium ions
  9. Sodium ions in exchange for primarily bicarbonate ions
  10. Sodium ions in exchange for primarily potassium ions
  11. A home health nurse instructs a client about the use of a nitrate patch. The nurse should make which statement to the client to prevent client tolerance to nitrates?
  12. "Do not remove the patches."
  13. "Have a 12-hour ‘no-nitrate' time."
  14. "Ensure a 24-hour ‘no-nitrate' time."
  15. "Keep nitrates on 24 hours, then off 24 hours."
  16. "Have a 12-hour ‘no-nitrate' time."
  17. A client with nausea and bradycardia is admitted to a medical unit. The family hands a nurse a small white envelope labeled "heart pill." The envelope is sent to the pharmacy and it is found to be digoxin (Lanoxin). A family member states, "That health care provider doesn't know how to take care of my family." Which statement would convey a therapeutic response by the nurse?
  18. "Don't worry about this. I'll take care of everything."
  19. "You are concerned your loved one receives the best care."
  20. "You're right! I've never seen them put pills in an envelope."
  21. "I think you're wrong. That health care provider (HCP) has been in practice more than 30 years."
  22. "You are concerned your loved one receives the best care."
  23. A male client is on enalapril (Vasotec) for the treatment of hypertension. The nurse teaches the client that he should seek emergent care if he experiences which adverse effect?
  24. Nausea
  25. Insomnia
  26. Dry cough
  27. Swelling of the tongue